1457381246

1457381246 was paid $134K by Medicaid between Jan 2018 and Dec 2020, across 3 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 83% of everything it billed.

33Billing provider info1457381246

33aNPI1457381246

33bProvider type—

28Total paid$134K

24GClaims2,590

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2020

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	927	$38K
2019	910	$48K
2020	753	$47K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	83%	1,545	1,465	$111K
E0441	Stationary oxygen contents, gaseous, 1 month's supply = 1 unit	9.4%	269	242	$13K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	7.9%	776	739	$11K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.